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Post Graduate Diploma in Geriatric Medicine
This programme is a Diploma Programme of three years duration. It is aimed at MBBS doctors. This programme will equip the in-service doctors with knowledge and skills in the field of Geriatric Medicine and further enable them to deal with the special problems faced by the elderly. It is proposed to have 10 to 12 programme study centres in the first year. It must be appreciated that the epidemiological and the clinical features of disease vary in this age as compared to the younger generation. Drug dosages and interactions also differ. Geriatric management requires not only medical interventions but also special economic and environmental interventions. This programme aims at not only enhancing the knowledge but also multiskilling the doctors so as that they can provide primary level care to the elderly. Objectives The broad Objectives of the Programme are to 1. Upgrade the knowledge and skills for providing comprehensive health care to elderly 2. Inculcate the inter-disciplinary approach for diagnosing and management of geriatric health problems 3. Improve the clinical, social and communication skills by providing hands on training in medical colleges and district hospitals. Admission fee : Rs. 12,500/- Duration : Minimum 1 year Maximum 3 years Eligibility : MBBS doctors Number of Seats : Each centre to have a maximum of 30 students Implementation The hands-on-training is proposed to be offered involving a three tier system i.e. demonstrations and discussions at Medical colleges called Programme Study Centre (PSC), supervisory practice at district level /secondary level hospitals called Skill Development Centres (SDC) and self activity at own Work Place (WP) with maintenance of records. The training at the programme study centres and the skill development centres would be done by trained teachers called counsellors. To ensure quality training, a three tier monitoring system would be operational i.e. the core faculty at head quarter level, Regional Health sciences Advisory Committee (RHSAC) at state level and Regional Consultants at SDC level. The hands-on-training of all students would be recorded in logbooks and verified by concerned Counsellors. Video : To be developed Examination & Evaluation The evaluation system would include continuous and term-end assessment both for the theory and practical components. The students would be expected to clear both the theory and the practical separately. In the theory, thirty percent of weightage would be given to the internal assignment and seventy percent to the term end examination. The minimum pass percentage for both theory and practical separately would be fifty per cent. In the practical, weightage of thirty per cent for internal assessment and seventy per cent for term end examination. The individual pass percentage of term-end and continuous assessment would be fifty per cent. The students would be required to maintain log-books which will be signed before they will be allowed to appear for their term-end practical. The programme design is mentioned in section 2.2. The block-wise details are mentioned in the following section and the detailed syllabi are mentioned in a separate section. SYLLABI • Course-wise List of Blocks Course MME-004: Basic Geriatrics Block-1 : Demography and Epidemiology of Aging Block-2 : Biological Process of Aging Block-3 : Making Elderly Less Vulnerable Block-4 : Coping with Aging Block-5 : Psychosocial Geriatrics Block-6 : Rehabilitation Geriatrics Course MMEL-004: Basic Geriatrics Practical Block-1 : Practical Manual Block-2 : Log-book Course MME-005: Clinical Geriatrics Block-1 : Different Face of Clinical Geriatrics Block-2 : Gastrointenstinal and Respiratory Disorders Block-3 : Cardiovascular and Haematological Disorders Block-4 : CNS and Neuro-psychiatric Disorders Block-5 : Genitourinary and Endocrinological Disorders Block-6 : Musculoskeletal and Special Senses Disorders Block-7 : Malignancies and Terminally Ill Block-8 : Miscellaneous Disorders Course MMEL-005: Clinical Geriatrics Practical Block-1 : Practical Manual Block-2 : Log-book • Block-wise Details of Each Course Course MME-004: Basic Geriatrics Block-1: Demography and Epidemiology of Aging Unit 1 : From pyramid to Pillar Unit 2 : Manifestation of Demographic Transition Block-2: Biological Process of Aging Unit 1 : Biological Changes Unit 2 : Nutrition Unit 3 : Psychosocial Changes Unit 4 : Pharmacokinetics and Pharmacodynamics Block-3: Making Elderly Less Vulnerable Unit 1 : Aging Gracefully Unit 2 : Risk Factor Management and Screening Block-4: Coping with Aging Unit 1 : Environmental Facilitation Unit 2 : Alternative Medicine and Therapies Unit 3 : Health Education and Counselling Block-5: Psychosocial Geriatrics Unit 1 : Dependence, Independence and Competence Unit 2 : Issues in Caring Unit 3 : Legislation and Governmental Agencies Unit 4 : Non Governmental Agencies Block-6: Rehabilitation Geriatrics Unit 1 : Principles of Rehabilitation Unit 2 : Medical Rehabilitation Unit 3 : Social Rehabilitation Course MMEL-004: Basic Geriatrics Practical Section 1: Getting to Know Our Elderly Chapter 1: Assessment of Geriatric Patient at Home Chapter 2: Assessment of Geriatric Patient at Home Chapter 3: Assessment of Geriatric Patient at Home Section 2: Health Education and Counselling Chapter 1: Counselling Chapter 2: Health Education Section 3: Diet and Nutrition Chapter 3: Nutritional Assessment Chapter 4: Dietary Advice Section 4: Psychosocial and Rehabilitation Geriatrics Chapter 1: Visits to Day Care Centre and Old Age Home Chapter 2: Rehabilitation Geriatrics Course MME-005: Clinical Geriatrics Block-1 Different Face of Clinical Geriatrics Unit 1 : How Elderly are Different? Unit 2 : Investigating the Elderly Unit 3 : Infection and Immunity Block-2: Gastrointenstinal and Respiratory Disorders Unit 1 : Disorders of Upper Gastrointestinal Tract Unit 2 : Disorders of Lower Gastrointestinal Tract Unit 3 : Disorders of Liver, Biliary System and Pancreas Unit 4 : Infections of Respiratory System Unit 5 : Non-infective Disorders of the Respiratory System Block-3: Cardiovascular and Haematological Disorders Unit 1 : Congestive Cardiac Failure, Hypertension and Hypotension Unit 2 : Ischemic Heart Disease Unit 3 : Valvular Heart Diseases and Infective Endocarditis Unit 4 : Anaemia and Haemato-oncology Block-4: CNS and Neuro-psychiatric Disorders Unit 1 : Cerebro Vascular Diseases Unit 2 : Depressive and Psychiatric Disorders Unit 3 : Congnitive Impairment and Dementia Unit 4 : Neuro-degenerative Disorders Unit 5 : Infections of Central Nervous system, Sleep Disorders and Coma Block-5: Genitourinary and Endocrinological Disorders Unit 1 : Fluid and Electrolyte Imbalance Unit 2 : Urological Disorders Unit 3 : Gynaecological Problems Unit 4 : Diabetes Mellitus Unit 5 : Thyroid, Obesity and Sexuality Block-6: Musculoskeletal and Special Senses Disorders Unit 1 : Osteoporosis Unit 2 : Disease of the Joints Unit 3 : Fractures and Musculotendinous Disorder Unit 4 : Visual Impairment Unit 5 : Ear, Nose and Throat Disorders Unit 6 : Diseases of the Oral Cavity Block-7: Malignancies and Terminally Ill Unit 1 : Basic Principles of Oncology Unit 2 : Common Malignancies Unit 3 : Common Malignancies in Women Unit 4 : Palliative Care Block-8: Miscellaneous Disorders Unit 1 : Principles of Geriatric Surgery Unit 2 : Common Emergencies Unit 3 : Poisoning and Accidents Unit 4 : Dermatological Disorders Unit 5 : Disorders of Balance Unit 6 : Hernias Course MMEL-005: Clinical Geriatrics Practical Section 1: Assessment of Geriatric Patient Chapter 1: History Taking and General Physical Examination Chapter 2: Common Bedside Procedures Chapter 3: Critical Analysis of Drug Prescription Writing Section 2: Clinical Evaluation-I Chapter 1: Gestatrointestinal History and Abdominal Examination Chapter 2: Assessment of Respiratory System Section 3: Clinical Evaluation-II Chapter 1: Assessment of Cardiovascular System Chapter 2: Assessment of Endocrionological System Section 4: Clinical Evaluation-III Chapter 1: Assessment of Genitourinary System Chapter 2: Assessment of Endocrinological System Section 5: Clinical Evaluation-IV Chapter 1: Assessment of Musculoskeletal System Chapter 2: Assessment of Dermatological System Chapter 3: Assessment of Special Senses Section 6: Miscellaneous Practicals Chapter 1: Investigations and Interpretations in a Geriatric Patient Chapter 2: Orientation and Elective Visits Block 2: Log-book List of Practical Skills The skills that you are expected to learn in each course are mentioned below. In each of the skills, you will be demonstrated at least one case with explanation of key steps that are mentioned in each of them. After demonstration, each of you will be given scope to perform the procedure in at least one patient under the supervision of the counsellor at PSC. For this purpose, you will be posted to OPD, Ward, OT, Emergency etc. as applicable for different skills. The activities and field visits which you are expected to complete in different courses are given below. You will find the details of each in the respective practical manuals. Activities of MMEL-004: Basic Geriatrics Practical • Community Medicine Component • Assessment of Nutrition • Diet Planning • Planning and Conduction of Group Discussion • Providing Health Education Talks • Planning and Conduction of Counselling • Family Study • Home Assessment of Geriatric Patient • Follow Up of Five Families at Work Place • Field Visits Visits to the following institutions for observing the geriatric care • Old Age Home • Day Care Centre • Orthopaedic Component • Assessment of Musculoskeletal System • Examination of Extremities and Spine • Limb Length Discrepancy • Range of Movement of Joints • Assessment of Physical Disability • Physiotherapy Exercises • Upper Limb Exercises including PA, RA • Lower Limb Exercises including OA,THR,TKR • Spinal Exercises • Heat and Cold Therapy • Transferring a Patient • Balance and Gait Training • Use of Orthopaedic Aids • Application of Splints • Application of Elastocrepe Bandage • Maintenance of Asepsis • Investigations including X-ray Activities of MMEL-005 : Clinical Geriatrics Practical • History Taking and General Physical Examination of Geriatric Patient • Systemic Examination • Respiratory System • Cardiovascular System • Nervous System • Genitourinary System • Endocrinology System • GI System and Abdominal Examination • Bedside Procedures • Abdominal Tap • Pleural Tap • Bladder Catheterisation • Ryles Tube Insertion • Enema • Per Rectum Examination • Electrocardiography • X-ray • History Taking and Examination of Skin Disorders • History Taking and Examination of Psychiatric Disorders • Dental Caries and Oral Health • Deafness and Hearing • Examination of Cataract and Glaucoma Source: IGNOU official Website |
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